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Chart Round Checklist

The document contains a checklist for chart rounds at a hospital. It includes parameters to check for clinical evaluation, decision making, workup, and drug use. It also includes checks for nursing care plans, medication management, monitoring of vitals, intake/output, pain, and post-partum care including monitoring of mother and newborn.

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Abdi Tofik
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921 views1 page

Chart Round Checklist

The document contains a checklist for chart rounds at a hospital. It includes parameters to check for clinical evaluation, decision making, workup, and drug use. It also includes checks for nursing care plans, medication management, monitoring of vitals, intake/output, pain, and post-partum care including monitoring of mother and newborn.

Uploaded by

Abdi Tofik
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Halaba Kulito General Hospital Chart Round Checklist

Halaba Kulito General Hospital Chart Round Checklist

Patient Name: _______________________ Age: _____ Sex: ____ MRN: ____________ Date: ___________

Contents/Parameters Comment from team (if any)

1. Appropriate Clinical evaluation: Yes  No 


2. Correct Decision process: Yes  No 
3. Appropriate and justified work up: Yes  No 
4. Rational use of drugs: Yes  No 

1. Nursing care Plan filled & complete: Yes  No  New 


2. Clinical pharmacy medication care plan: Yes  No  New 
3. Progress note written & decision made: Yes  No  New 
4. Admission evaluation note: Yes  No  New 
5. WHO SSI Tracking Chart: Yes  No  NA 
6. Discharge Planning chart: Present  Absent  Complete 
7. Patient monitoring:
 VS taken according to VS Protocol/Pt condition: Yes  No 
 Fluid intake, output & balance: Yes  No  NA 
 SPO2 monitoring & correct action: Yes  No  NA 
 Daily Wt (AGN, HF, CLD, Neonate, SC): Yes  No  NA 
 Pain scored & Managed accordingly: Yes  No 

8. Labor & Delivery and Post-Partum Care:


 Parthograph use: Complete  Incomplete  NA 
 PP VS: Q30’ for 1st 2Hrs: Yes  No  NA 
 PP VS: Q2Hrs from 2hrs of PP to Discharge: Yes  No  NA 
 Documented VS for Neonate: Yes  No  NA 
 BF initiated and attachment demonstrated: Yes  No  NA 

Chart Round Team:

Name: Sign:

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